400例糖耐量异常人群中医体质分布特点分析

Classification and Distribution Features of TCM-based Constitution of Patients with Impaired Glucose Tolerance: Report of 400 Cases

目的探讨糖耐量异常(IGT)人群的中医体质分布特点,为在"治未病"思想指导下开展IGT的中医干预研究提供客观可靠的理论依据。方法根据世界卫生组织(WHO)(1999)IGT诊断标准及中华中医药学会(2009)《中医体质分类与判定》标准,新泾镇社区卫生服务中心于2011年1—6月从社区糖尿病高危人群、体检、门诊及住院的人群中筛查出IGT患者400例,进行体质辨识后总结其中医体质分布特点。结果 400例IGT患者中平和质95例(23.75%);阴虚质72例(18.00%);湿热质56例(14.00%);痰湿质52例(13.00%);气虚质44例(11.00%);气郁质33例(8.25%);阳虚质25例(6.25%);血瘀质16例(4.00%);特禀质7例(1.75%)。结论IGT患者以平和质所占比例最多,偏颇质中虚者以阴虚质为多,阳虚质较少;实者以湿热质为多,血瘀质较少。

Objective To explore the distribution features of Traditional Chinese Medicine（TCM） constitution of impaired glucose tolerance（IGT）,to provide objective and reliable theoretical basis for TCM interventional study on IGT under the guidance of the idea ＂preventive treatment of diseases＂.Methods According to WHO IGT Diagnostic Criteria（1999） and Standards of Classification and Judgment of TCM Constitution issued by Chinese Association of TCM（2009）,400 IGT patients were screened out from January to June of 2011 to conclude the distribution features of TCM constitution.Results Ninety-five IGT patients had peace constitution（23.75%）,72 had Yin deficiency constitution（18.00%）,56 had dampness-heat（14.00%）,52 had dampness-phlegm（13.00%）,44 had Qi deficiency（11.00%）,33 had Qi depression（8.25%）,25 had Yang deficiency constitution（6.25%）,16 had blood stasis constitution（4.00%）,7 had specific endowment constitution（1.75%）.Conclusion Peace constitution accounts for the largest proportion in IGT patients.In biased constitution patients,most of weak ones have Yin deficiency,very few have Yang deficiency;Most of strong patients have dampness-heat constitution,few have blood stasis.